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NPI Code Detail

MEDICARE: DBT COLUMBIA LLC

MEDICARE: DBT COLUMBIA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1699358861
Entity Type Code : Organization
Provider Name (Legal Business Name) : DBT COLUMBIA LLC
Provider Business Mailing Address
First Line : PO BOX 924
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-0924
Country : US
Telephone Number : 660-988-9669
Fax Number : 888-414-6717
Provider Business Practice Location Address
First Line : 705 E LAHARPE ST STE C
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-4526
Country : US
Telephone Number : 660-988-9669
Fax Number : 888-414-6717
Authorized Official
Title or Position : OWNER
Name : JONI BENNETT
Credential : MS, LPC
Telephone Number : 660-988-9669
Provider Enumeration Date : 05/04/2021
Last Update Date : 01/20/2026

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Directions to “DBT COLUMBIA LLC ” Practice Location

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